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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0506762
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/14/2020 4:28:48 AM
Creation date
2/13/2020 9:49:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0506762
PE
2953
FACILITY_ID
FA0007611
FACILITY_NAME
TRI STAR HOMES LOT 51
STREET_NUMBER
2019
STREET_NAME
LARA
STREET_TYPE
CT
City
TRACY
Zip
95376
APN
23823010
CURRENT_STATUS
02
SITE_LOCATION
2019 LARA CT
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - EOVIRONMENTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 5/14/93 <br /> NEN FACILITY CHANGE OF OWNER DATE OF OWNED CHANGE � ��_ INACTIVE - <br /> Prior Owner <br /> CTION CHANGE OF BILLING DATE OF 13ILLINO CT. 11GE /, -_-- l DELETE <br /> OWNER FILE <br /> _T OWNER IDGAY CASE # BILLING PARTY Y / Is <br /> OWNER NAME TRI STAR HOMES OWNER HOME PHONE ( NA } ; <br /> OWNER DBA TRI STAR HOMES OWNER WRK/BUS PH <br /> ADDRESS 3200 DANVILLE BLVD., SUITE 200 <br /> CITY ALAMO STATE CA zip 94507-1914 <br /> MAILING ADDRESS P 0 box 1056 JUN 2 0 1997 <br /> CARE OF MIRE GALLAGER - -- ENVIRONMENTAL HEALTH <br /> CITY ALAMO STATE CA zip 94507— 1914 PERMIT/SERVICES <br /> BUSINESS CODE �� NATURE OF OWNER BUSINESS , DEVELOPED <br /> FACILITY FILE <br /> FACILITY 10 # 00 7rf BILLING PARTY Y / H <br /> # OF EMPLOYEES <br /> FACILITY NAME 11ZOPOSED TRI-STAR HOMES TRUST LANDS? Y / A <br /> FACILITY ADDRESS CITY OF TRACY APN 238-03-22.2176-- HOME PH ( NA ) <br /> CROSS STREET CORRAL HOLLOW RD. AND WEST BYRON RD. ; . - BUSH PH C NA ) <br /> CITY TRACY STATE CAS_ zip <br /> L <br /> sus ......--- BOS Dist Location Code City Code ----------- <br /> MAILING ADDRESS P O 1056 APN # 238-03-22 f� <br /> CARE OF TRI STAR HOMES —____ SIC CODE <br /> CITY ALAMO STATE C_ A_fix ZIP 94507-1914 <br /> GENERAL TYPE of BUSINESS at this FACILITY NA t <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION p <br /> NAME TRI STAR HOMES HOME PHONE X> <br /> MAILING ADDRESS P O BOX 1056 BUSH PHONE .6 )9>8.496 <br /> CARE OF MIKE GALLAGER ------� / Page T OA <br /> ALAMO GA Ip 945() 914 97 <br /> CITY STATE Z <br />
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